A client who gave birth two days ago informs the doula that she has not had a bowel movement since the delivery of her child. The client had a vaginal birth. Which of the following statements made by the doula is the most appropriate in this situation?
Explanation
Answer: D - Bowel elimination usually occurs within two to three days after vaginal birth. For postpartum clients who had a Caesarean section, bowel elimination may not occur until three or four days after birth. The client should be encouraged to increase her intake of fiber and fluids and to engage in safe physical activities to relieve constipation. Constipation commonly occurs after birth due to many factors, such as reduced intake of food, anesthesia, and use of narcotics or pain medications. A doula should always refer a client to her healthcare provider with medical questions, but can certainly provide ideas for increased comfort, as well as information about norms.
